Contact Information Name * Phone * Email * Address Dept/Organization Program Number * Event Information Event Title * Event Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024 Start Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm : Minute Minute00153045 End Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute00153045 Add additional date Add Another Date Additional Event Date 2 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024 Start Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm : Minute Minute00153045 End Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute00153045 Add additional date Add Another Date Additional Event Date 3 Month MonthFebMarAprMayJunJulAugSep Day Day12345678910111213141516171819202122232425262728293031 Year Year2023 Start Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm : Minute Minute00153045 End Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute00153045 Add additional date Add Another Date Additional Event Date 4 Month MonthFebMarAprMayJunJulAugSep Day Day12345678910111213141516171819202122232425262728293031 Year Year2023 Start Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm : Minute Minute00153045 End Time: Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm : Minute Minute00153045 Room Arrangements Set-Up Format Lecture Classroom Conference Other If Other, please describe Number of Chairs needed (100 chairs maximum) Extra Tables Needed Yes No If so, how many? Computer/Projector/Internet Computer/Projector Needed Microphone Microphone Needed Any Special Equipment Needed? Special Equipment Needed If so, please describe: Refreshments Will you have refreshments? Yes, we will have refreshments Only simple refreshments are permitted (e.g., cookies, muffins, coffee, soft drinks etc.) Flames of any kind are strictly prohibited in the lecture hall (e.g., candles, sterno cans etc). Alcohol requires a special permit issued by LSU. Please refer to LSU policy statement # PS- 60 regarding food services. Tables needed for Refreshments Tables needed for refreshments If so, how many? Will you have an outside caterer? Leave this field blank
